Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
SP-LS SPN 2 TO 3V DR
Victoria, TX
See all hospitals reporting CPT 72100 →Price type
Victoria of Texas LP’s median price of $106 is 26% below the median hospital's median price ($144), higher than 25% of the 2,629 hospitals reporting CPT 72100. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 34 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Medicaid node tx medicaid facility · fee schedule · outpatient | $40.10 | $40.10 | $40.10 – $40.10 |
| 2 | UnitedHealthcare node uhc chip medicaid tx facility · fee schedule · outpatient | $40.10 | $40.10 | $40.10 – $40.10 |
| 3 | UnitedHealthcare node uhc star kids medicaid tx facility · fee schedule · outpatient | $40.10 | $40.10 | $40.10 – $40.10 |
| 4 | UnitedHealthcare node uhc star plus medicaid tx facility · fee schedule · outpatient | $40.10 | $40.10 | $40.10 – $40.10 |
| 5 | Blue Cross Blue Shield node bcbs star medicaid tx facility · per diem · outpatient | $40.90 | $40.90 | $40.90 – $40.90 |
| 6 | Blue Cross Blue Shield node bcbs star kids medicaid tx facility · per diem · outpatient | $40.90 | $40.90 | $40.90 – $40.90 |
| 7 | Molina node molina chip medicaid tx facility · per diem · outpatient | $42.11 | $42.11 | $42.11 – $42.11 |
| 8 | Molina node molina star medicaid tx facility · per diem · outpatient | $42.11 | $42.11 | $42.11 – $42.11 |
| 9 | Molina node molina star plus medicaid tx facility · per diem · outpatient | $42.11 | $42.11 | $42.11 – $42.11 |
| 10 | Blue Cross Blue Shield bcbs tx blue adv facility · other · outpatient | $49.54 | $49.54 | $49.54 – $49.54 |
| 11 | Superior Healthplan node superior star kids medicaid tx facility · other · outpatient | $79.59 | $79.59 | $79.59 – $79.59 |
| 12 | Tricare node tricare facility · fee schedule · outpatient | $94.78 | $94.78 | $89.79 – $99.77 |
| 13 | Humana node humana mcr adv facility · fee schedule · outpatient | $98.18 | $98.18 | $93.01 – $103.34 |
| 14 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $98.18 | $98.18 | $93.01 – $103.34 |
| 15 | Tricare node usfhp tricare facility · fee schedule · outpatient | $99.77 | $99.77 | $94.52 – $105.02 |
| 16 | Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient | $100.14 | $100.14 | $94.87 – $105.41 |
| 17 | Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient | $100.14 | $100.14 | $94.87 – $105.41 |
| 18 | Aetna node aetna mcr adv facility · other · outpatient | $106.44 | $102.89 | $95.80 – $106.44 |
| 19 | UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient | $125.51 | $125.51 | $125.51 – $125.51 |
| 20 | Superior Healthplan node superior star medicaid tx facility · other · outpatient | $131.80 | $131.80 | $131.80 – $131.80 |
| 21 | Blue Cross Blue Shield bcbs tx hmo ppo trad facility · other · outpatient | $189.93 | $189.93 | $189.93 – $189.93 |
| 22 | UnitedHealthcare node uhc health exchange facility · per diem · outpatient | $199.54 | $199.54 | $189.04 – $210.04 |
| 23 | Cigna cigna nbr facility · percent of total billed charges · outpatientfrom % of charges | $802.77 | $802.77 | $802.77 – $802.77 |
| 24 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $961.30 | $961.30 | $961.30 – $961.30 |
| 25 | Aetna aetna dow chemical group facility · percent of total billed charges · inpatientfrom % of charges | $1,113 | $1,113 | $1,113 – $1,113 |
Last updated: Apr 1, 2026
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